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Coaching leadership exercised by nurses in the context of pre-hospital care: an analytical observational study. 院前护理中护士的指导领导作用:一项分析性观察研究。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2024-0635
Letícia Santiago Utsch, Fernanda Oliveira Santos, Katharina Júlia Lacerda Oliveira, Lara Campos Silva Santos, Bruna Franco Massa, Chennyfer Dobbins Abi Rached, André Almeida de Moura

Objectives: to analyze the correlation between coaching leadership exercised by pre-hospital care nurses and sociodemographic and professional aspects.

Methods: an observational, analytical, cross-sectional study, carried out in mobile and fixed pre-hospital care units in Minas Gerais. A total of 79 nurses answered the questionnaires "Characterization of participants with sociodemographic/professional data" and "Nurse Self-Perception Questionnaire in Leadership Exercise Questionnaire".

Results: nurses perceive themselves as exercising coaching leadership (score 83.89). Communication was the dimension with the highest mean of the leadership instrument. Being a cis male nurse influenced the support of the team in this context. Communication was correlated with having a fixed-term contract and not having another employment relationship.

Conclusions: nurses perceive coaching leadership in nursing practice, and men may be more likely to adopt leadership styles that emphasize active support to the team with a focus on results.

目的:分析院前护理护士教练式领导与社会人口学和专业方面的相关性。方法:在米纳斯吉拉斯州的移动和固定院前护理单位进行了一项观察性、分析性、横断面研究。共79名护士填写了“社会人口学/专业数据的参与者特征”和“领导力锻炼问卷中护士自我感知问卷”。结果:护士认为自己在行使教练领导(得分83.89)。沟通是领导工具的最高平均维度。在这种情况下,作为一名顺性男护士影响了团队的支持。沟通与有固定期限合同和没有其他雇佣关系相关。结论:护士在护理实践中感知教练领导,男性可能更倾向于采用强调积极支持团队并注重结果的领导风格。
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引用次数: 0
Diastolic dysfunction in primary care: medical and nursing interlocutions. 初级保健中的舒张功能障碍:医疗和护理对话。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2025-0005
Adson Renato Leite, Aretha Pereira de Oliveira, Dalmo Valério Machado de Lima, Maria Luiza Garcia Rosa, Antônio José Lagoeiro Jorge

Objectives: To evaluate the ratio between early and late mitral filling velocities (E/A) as a prognostic factor for hospitalizations due to cardiovascular causes and mortality in primary care; to identify the main NANDA-I nursing diagnoses, interventions, and outcomes associated with diastolic dysfunction.

Method: 633 individuals were recruited for evaluation of the E/A ratio and characterization of diastolic dysfunction. Multivariate Cox regression with Schoenfeld residual analysis, survival analysis, and hazard ratio estimation were performed.

Results: After six years, crude hazard ratios of 3.47, 3.60, 3.02, and 0.41 were identified for classes II and III diastolic dysfunction at cut-off points 1 and 2, respectively (p<0.01). Nursing diagnoses of Activity Intolerance, Anxiety, Fatigue, and Deficient Knowledge should be prioritized.

Conclusion: The E/A ratio showed an altered pattern in most participants without a diagnosis of heart failure, which may indicate a subclinical form of the condition.

目的:评估早期和晚期二尖瓣充盈速度(E/A)之间的比率作为初级保健中心血管原因住院和死亡率的预后因素;确定与舒张功能障碍相关的主要NANDA-I护理诊断、干预措施和结果。方法:招募633名受试者,评估E/A比值和舒张功能障碍特征。采用Schoenfeld残差分析、生存分析和风险比估计进行多变量Cox回归。结果:6年后,II类和III类舒张功能障碍的粗风险比分别为3.47、3.60、3.02和0.41(结论:在大多数未诊断为心力衰竭的参与者中,E/A比显示出改变的模式,这可能表明病情的亚临床形式。
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引用次数: 0
Compassion satisfaction and fatigue: emotional responses to nursing professionals' work and health. 同情、满足与疲劳:护理专业人员工作与健康的情绪反应。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2024-0615
Margani Cadore Weis Maia, Moisés Kogien, Vanessa Ferraz Leite, Victor Hugo Martins Santos, Marina Nolli Bittencourt

Objectives: to analyze the association between emotional responses in health work and physical and mental health conditions with compassion satisfaction and compassion fatigue in nursing professionals from a Brazilian capital.

Methods: a cross-sectional study, carried out from August 2023 to July 2024 with 95 nursing professionals from a public hospital. Professional Quality of Life, Depression, Anxiety, and Stress scales and characterization questionnaires were applied. The analysis was carried out by effect size and multiple linear regression.

Results: satisfaction was associated with depression, desire to change profession, indifference to distress, and meaning of life at work. Fatigue was related to stress, alcohol use, skills to intervene in distress, and perception that working conditions impact willingness to care.

Conclusions: negative emotional responses at work and mental health are associated with lower satisfaction and greater compassion fatigue in nursing professionals.

目的:分析巴西首都护理专业人员在卫生工作中的情绪反应、身心健康状况与同情满意度和同情疲劳之间的关系。方法:采用横断面研究方法,于2023年8月至2024年7月对某公立医院的95名护理专业人员进行调查。采用职业生活质量、抑郁、焦虑和压力量表和特征问卷。采用效应量和多元线性回归进行分析。结果:工作满意度与抑郁、转行意愿、对痛苦漠不关心、工作生活意义相关。疲劳与压力、酒精使用、干预痛苦的技能以及工作条件影响照顾意愿的看法有关。结论:护理专业人员在工作和心理健康方面的消极情绪反应与较低的满意度和较大的同情疲劳有关。
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引用次数: 0
Prevalence of depression and analysis of its association with anxiety in military police officers: a cross-sectional study. 军警军官抑郁患病率及其与焦虑关系分析:一项横断面研究。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2024-0312
Renato Canevari Dutra da Silva, Carolina Veras Mendes, Maria Neyrian de Fátima Fernandes, Gilson Gonçalves Silva, Lidiane Bernardes Faria Vilela, Elton Brás Camargo Júnior

Objective: to identify the prevalence of depression and its association with anxiety levels among military police officers.

Methods: a cross-sectional study, conducted with active military police officers, using the Beck Depression Inventory and the Beck Anxiety Inventory, both validated for the Brazilian context. Multivariate logistic regression analyses verified associations.

Results: the sample consisted of 672 military police officers, with a prevalence of depression of 34.5%. Police officers with depression presented significantly higher levels of anxiety. Anxiety was a significant predictor of depression, with each one-point increase in anxiety score being associated with a 1.20-fold increase in the odds of depression (adjusted Odds Ratio = 1.20; 95% Confidence Interval 1.16-1.24; p < 0.001).

Conclusions: the high prevalence of depression and its association with anxiety highlight the need to implement prevention and mental health promotion actions among military police officers.

目的:了解军警官兵抑郁患病率及其与焦虑水平的关系。方法:采用贝克抑郁量表和贝克焦虑量表,对现役军事警察进行横断面研究,这两种量表均适用于巴西的背景。多变量逻辑回归分析证实了相关性。结果:样本包括672名武警官兵,抑郁症患病率为34.5%。患有抑郁症的警察表现出明显更高的焦虑水平。焦虑是抑郁的重要预测因子,焦虑评分每增加1分,抑郁几率增加1.20倍(调整后的优势比= 1.20;95%可信区间为1.16-1.24;p < 0.001)。结论:抑郁症的高患病率及其与焦虑的关联突出了在军事警察中实施预防和心理健康促进行动的必要性。
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引用次数: 0
Overweight/obesity among health professionals and associated factors. 卫生专业人员中的超重/肥胖及其相关因素。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2024-0254
Sirlaine de Pinho, Lucineia de Pinho, Carla Silvana de Oliveira E Silva, Rene Ferreira da Silva Junior, Victor Guilherme Pereira, Silvânia Paiva Santos, Maria Alice Moura Soares, Dulce Aparecida Barbosa

Objectives: to estimate the prevalence of overweight/obesity and identify associated factors among health professionals.

Methods: this cross-sectional study included professionals who had worked for at least six months in critical units of nine hospitals in northern Minas Gerais, Brazil. Sociodemographic, occupational, anthropometric, and health condition data were collected. Poisson regression with robust variance was applied to estimate prevalence ratios (PR) using SPSS 20.0.

Results: a total of 490 health professionals participated, 65.9% were women, and 49.7% were aged 30-39 years. The prevalence of overweight/obesity was 61.8%. Associated factors included age ≥ 30 years, ≥ 5 years working in healthcare, elevated triglycerides, and elevated blood pressure.

Conclusions: the prevalence of overweight/obesity among health professionals was high and associated with sociodemographic, occupational, and health factors, underscoring the need for support to promote lifestyle changes in this workforce.

目的:估计卫生专业人员中超重/肥胖的患病率,并确定相关因素。方法:这项横断面研究包括在巴西米纳斯吉拉斯州北部九家医院的危重病单位工作了至少六个月的专业人员。收集了社会人口学、职业、人体测量学和健康状况数据。采用SPSS 20.0,采用稳健方差泊松回归估计患病率(PR)。结果:共有490名卫生专业人员参与,女性占65.9%,年龄在30-39岁之间的占49.7%。超重/肥胖患病率为61.8%。相关因素包括年龄≥30岁、从事医疗保健工作≥5年、甘油三酯升高和血压升高。结论:卫生专业人员中超重/肥胖的流行率很高,并且与社会人口、职业和健康因素有关,强调需要支持以促进这一劳动力的生活方式改变。
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引用次数: 0
Interface between falls and perceptions of quality of life of older adults: a qualitative study. 老年人跌倒与生活质量感知之间的关系:一项定性研究。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2025-0007
Caio Leonardo Faria Andrade, Patrícia Chaves da Silva, Kevin Silva Moreira, Jonathan Ballico de Moraes, Juliana Balbinot Reis Girondi, Newton Ferreira de Paula Júnior

Objectives: to understand the relationship between falls and perceptions of quality of life among older adults.

Methods: this is a descriptive and exploratory study with a qualitative approach, conducted with older adults in the Family Health Strategy of Itumbiara, Goiás, using Bardin's content analysis.

Results: analysis of interviews with 26 older adults revealed four thematic axes: Fall dynamics, circumstances and associated factors; Physical and emotional repercussions of falls; Spirituality and social support network; and Perceptions and suggestions for a safer life. Falls increase older adults' fragility and vulnerability, affect their health, dependence and functional capacity and tend to be normalized and trivialized by older adults themselves.

Final considerations: falls impact older adults' physical and emotional health. It is necessary to raise awareness about the causes, consequences and prevention of this event, in order to promote healthy and active aging.

目的:了解老年人跌倒与生活质量认知之间的关系。方法:这是一项描述性和探索性质的研究,采用定性方法,对伊图姆比亚拉(Goiás)家庭健康战略中的老年人进行了研究,采用Bardin的内容分析。结果:对26名老年人的访谈分析揭示了四个主题轴:跌倒动力学、环境和相关因素;跌倒对身体和情感的影响;精神与社会支持网络;以及对安全生活的看法和建议。跌倒增加了老年人的脆弱性和脆弱性,影响他们的健康、依赖和功能能力,而且往往被老年人自己正常化和轻视。最后要考虑的是:跌倒会影响老年人的身心健康。有必要提高对这一事件的起因、后果和预防的认识,以促进健康和积极的老龄化。
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引用次数: 0
Mindfulness practices for alleviating distress among postpartum women. 减轻产后妇女痛苦的正念练习。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2024-0525
Fernanda Veras Vieira Feitosa, Raimunda Magalhães da Silva, Waleska Benicio de Oliveira Carvalho, Débora Pereira Paixão, Marta Maria Soares Herculano, Maria Helena Carvalho Valente Presado, Vânia Krisna de Oliveira Albuquerque, Laura Pinto Torres de Melo

Objectives: to understand how mindfulness practice helps alleviate distress among postpartum inpatients at a public maternity hospital.

Methods: this intervention study was carried out between March and June 2022 with 19 postpartum women. Data were collected through interviews conducted before and after eight mindfulness sessions and analyzed using thematic analysis.

Results: mindfulness fostered self-regulation, attentional control, emotion regulation, a change in perspective on the self, and increased body awareness. It also reduced fear, anxiety, and stress.

Final considerations: by becoming aware of the physical and emotional sensations of their bodies, postpartum women engaged in a reflective process that helped alleviate distress during the postpartum period.

目的:了解正念练习如何帮助减轻公立妇产医院产后住院患者的痛苦。方法:于2022年3月至6月对19名产后妇女进行干预研究。通过在8次正念课程前后进行的访谈收集数据,并使用主题分析进行分析。结果:正念促进了自我调节、注意力控制、情绪调节、自我视角的改变和身体意识的增强。它还能减少恐惧、焦虑和压力。最后的考虑:产后妇女通过意识到自己身体的生理和情感感受,参与了一个反思过程,这有助于减轻产后期间的痛苦。
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引用次数: 0
Tuberculosis detection actions in Primary Health Care during the COVID-19 pandemic. COVID-19大流行期间初级卫生保健中的结核病检测行动。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2024-0389
Isabella Carlini Bulizani, Stephanie Ribeiro, Ana Carolina Silva, Thais Tiemi Yamamoto, Rachel Russo Leite, Hugo Fernandes, Roxana Isabel Cardozo Gonzales, Paula Hino

Objectives: to investigate which tuberculosis monitoring actions were modified in Primary Health Care services in the eastern region of the city of São Paulo.

Methods: a cross-sectional study based on primary and secondary data. Key informants from 20 health units were interviewed using a semi-structured questionnaire. Descriptive and analytical statistics were used for data analysis.

Results: in 2020, 2021 and 2022, there was an increase in working hours and a significant change in the work process. Changes in tuberculosis detection actions were identified, with an association between the change in consultation offer and the year 2020 when compared to 2022 (p=0.02). A decrease in the tuberculosis incidence rate and an increase in the mortality rate were observed between the years.

Conclusions: the repercussions of the pandemic on tuberculosis detection measures are highlighted, which had an impact on the epidemiological data of the disease in the municipality.

目的:调查圣保罗市东部地区初级卫生保健服务中哪些结核病监测行动有所改进。方法:基于第一手资料和第二手资料的横断面研究。使用半结构化问卷对来自20个卫生单位的关键举报人进行了访谈。采用描述性统计和分析性统计进行数据分析。结果:在2020年、2021年和2022年,工作时间有所增加,工作流程发生了明显变化。确定了结核病检测行动的变化,与2022年相比,咨询服务的变化与2020年之间存在关联(p=0.02)。这些年来,结核病发病率有所下降,死亡率有所上升。结论:强调了大流行病对结核病检测措施的影响,这对该市疾病的流行病学数据产生了影响。
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引用次数: 0
Intervening factors related to working conditions in nursing care quality. 工作条件对护理质量的影响因素。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2025-0053
João Vitor Silva Santos, Maithê de Carvalho E Lemos Goulart, Fernanda Maria Vieira Pereira-Ávila, Fernanda Garcia Bezerra Góes, Lucca Macedo Dos Santos, Larissa Sousa Oliva Brun, Yanna Carla Pinheiro de Oliveira

Objectives: to understand the intervening factors related to working conditions in nursing care quality.

Methods: a qualitative study conducted between August and November 2024, with in-person interviews involving 35 nursing professionals from a public hospital in the coastal lowlands of Rio de Janeiro, Brazil. The data were processed using the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software and subjected to thematic analysis.

Results: lack of supplies, work overload, insufficient organizational support, and poor infrastructure were the most frequently cited factors affecting working conditions and quality of care provided by nursing staff. The resulting classes highlight the structural, procedural, and outcome domains.

Final considerations: various factors related to working conditions were identified as intervening in nursing care quality, from the scarcity of supplies to professional development. Listening sessions can be effective in strengthening organizational support and implementing change.

目的:了解工作条件对护理质量的影响因素。方法:于2024年8月至11月进行定性研究,对巴西里约热内卢沿海低地一家公立医院的35名护理专业人员进行了面对面访谈。数据使用界面数据分析、多维文本和问卷调查软件进行处理,并进行专题分析。结果:缺乏护理用品、超负荷工作、组织支持不足和基础设施差是影响护理人员工作条件和护理质量的最常见因素。结果类突出显示结构域、过程域和结果域。最后的考虑:与工作条件相关的各种因素被确定为干预护理质量,从供应的稀缺性到专业发展。倾听会议可以有效地加强组织支持和实施变革。
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引用次数: 0
Nurses' perceptions of metaparadigmatic concepts in anthroposophic nursing. 人智护理中护士对元范式概念的认知。
IF 1.2 Q3 NURSING Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.1590/0034-7167-2024-0596
Susana Martín Hernández, Janaina Meirelles Sousa, Georgina Casanova Garrigos

Objectives: to identify nurses' perceptions of the metaparadigmatic concepts emerging from nursing practice as expanded by the anthroposophic medical system.

Methods: a qualitative study using semistructured interviews with 23 nurses of different nationalities about anthroposophic nursing practice. Data were analyzed through Reflective Thematic Analysis supported by ATLAS.ti® software.

Results: the human being is perceived as both fourfold and threefold (body, soul, and spirit), requiring care to evolve throughout one's biography. Health is understood as a balance among bodies and systems, influenced by spirituality and the perception of biographical coherence. Nursing provides extended care through external applications, nurses' self-knowledge, and the establishment of therapeutic and spiritual bonds.

Final considerations: the findings revealed a therapeutic approach within nursing care, expanded by the anthroposophic medical system and compatible with conventional nursing practices, indicating theoretical elements and framework that can contribute to the development of an anthroposophic nursing theory.

目的:确定护士对由人智医学系统扩展的护理实践中出现的元范式概念的看法。方法:采用半结构化访谈法对23名不同国籍的护士进行关于人智学护理实践的定性研究。数据通过ATLAS支持的反思性专题分析进行分析。ti®软件。结果:人类被认为是四重和三重的(身体、灵魂和精神),需要在一个人的一生中小心地进化。健康被理解为身体和系统之间的平衡,受灵性和对传记一致性的感知的影响。护理通过外部应用、护士的自我认识以及建立治疗和精神纽带提供延伸护理。最后考虑:研究结果揭示了护理中的治疗方法,通过人智医学系统扩展并与传统护理实践兼容,表明了可以促进人智护理理论发展的理论要素和框架。
{"title":"Nurses' perceptions of metaparadigmatic concepts in anthroposophic nursing.","authors":"Susana Martín Hernández, Janaina Meirelles Sousa, Georgina Casanova Garrigos","doi":"10.1590/0034-7167-2024-0596","DOIUrl":"10.1590/0034-7167-2024-0596","url":null,"abstract":"<p><strong>Objectives: </strong>to identify nurses' perceptions of the metaparadigmatic concepts emerging from nursing practice as expanded by the anthroposophic medical system.</p><p><strong>Methods: </strong>a qualitative study using semistructured interviews with 23 nurses of different nationalities about anthroposophic nursing practice. Data were analyzed through Reflective Thematic Analysis supported by ATLAS.ti® software.</p><p><strong>Results: </strong>the human being is perceived as both fourfold and threefold (body, soul, and spirit), requiring care to evolve throughout one's biography. Health is understood as a balance among bodies and systems, influenced by spirituality and the perception of biographical coherence. Nursing provides extended care through external applications, nurses' self-knowledge, and the establishment of therapeutic and spiritual bonds.</p><p><strong>Final considerations: </strong>the findings revealed a therapeutic approach within nursing care, expanded by the anthroposophic medical system and compatible with conventional nursing practices, indicating theoretical elements and framework that can contribute to the development of an anthroposophic nursing theory.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"78 6","pages":"e20240596"},"PeriodicalIF":1.2,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Revista Brasileira De Enfermagem
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